Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013308469 Individual Practitioner Female Practitioner

Jennifer Kate Moore , CCC SLP

Speech-Language Pathologist • San Rafael, CA

Professional Overview & Biography Verified Profile Summary

Jennifer Moore, CCC SLP is a registered healthcare professional specializing in Speech-Language Pathologist in San Rafael, CA. Practice services are available at 99 MONTECILLO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

99 Montecillo Rd

San Rafael, CA 949033308

Telephone 4158893833
Associated Practice Facility / Clinic
🏢 Kaiser Permanente Facility NPI 1871677161

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in San Rafael, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
44 Specialists

Practicing in San Rafael, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 12446

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Marta Friedman , LCSW, JD

Social Worker - Clinical

NPI 1003069477

Licensed Clinical Social Worker, JD

NPI 1003933169

Doctor of Medicine (M.D.)

NPI 1003990078

Doctor of Medicine (M.D.)

Dr. Cheryl Kahn , MD

Radiology - Diagnostic Radiology

NPI 1003990094

Doctor of Medicine (M.D.)

NPI 1013113257

Doctor of Medicine (M.D.)

Dr. Inna Sheinson , MD

Internal Medicine

NPI 1013596782

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 06, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2015

Registered at 99 MONTECILLO RD, SAN RAFAEL, CA 949033308 (Tel: 4158893833)

📍
Updated Business Mailing Address February 06, 2015

Registered at 99 MONTECILLO RD, SAN RAFAEL, CA 949033308 (Tel: 4158893833)

👤
Provider Name / Credentials Updated February 06, 2015

Recorded as JENNIFER MOORE, CCC SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2015

Speech-Language Pathologist (License #12446 in CA)

🟢
Initial NPI Registration & Enumeration February 06, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013308469
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2015
Last Update: February 06, 2015
Sole Proprietor: No

Mailing Address

99 Montecillo Rd

San Rafael, CA 949033308

Phone: 4158893833

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.